Gallbladder Stone Migrating in the Liver and Mimicking Gallbladder Cancer (GBCA)

Ahmed Elaffandi,Hany Nada

doi:10.4172/2167-0889.1000131

Abstract

We report a case of gallbladder stone that eroded the posterior wall of the gallbladder and migrated into the liver parenchyma giving a similar picture to Gallbladder Cancer (GBCA) on imaging. Such a clinical scenario is uncommon in the presence of raised serum tumor markers (CA 19.9) and significant weight loss. It is to the authors’ knowledge that a similar case has hardly been reported in the literature.

Highlights

Gallstones and biliary lithiasis are very common in the western world
Other presentations and complications can occur with less common incidence as obstructive jaundice,cholangitis, pancreatitis, empyema, gallstone ileus and the least common of all is erosion into adjacent viscera causing fistula or gastric outlet obstruction (Bouveret syndrome) [2]
A 48 years old mediterranean female presented to the Outpatient Clinic (OPC) at the National Cancer Institute (NCI) with a history of weight loss, right hypochondral pain and gastric discomfort for 4 months

Summary

Introduction

Gallstones and biliary lithiasis are very common in the western world. Up to 4% of the asymptomatic population may start developing symptoms annually. The most common presentations are biliary colics (56%) and acute cholecystitis (36%) [1]. A gallstone eroding into the liver parenchyma mimicking GBCA both clinically and radiologicaly has barely been reported in the literature. A 48 years old mediterranean female presented to the Outpatient Clinic (OPC) at the National Cancer Institute (NCI) with a history of weight loss, right hypochondral pain and gastric discomfort for 4 months.

Results

Conclusion